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General NPI Number Information
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NPI Number | 1710003694
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Entity Type | Organization
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Legal Business Name | HEART AND ENDOCRINE CLINIC, P.C.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 PRINCETON AVE SW POB 1, STE 332
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1310
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Country | US
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Telephone | 205-780-0084
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Fax | 205-780-0085
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Provider Business Mailing Address
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Address Line | 1344 PANORAMA DR
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City | BIRMINGHAM
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State | AL
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Zip | 35216-3013
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Country | US
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Telephone | 205-822-6952
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Fax | 205-822-6952
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. PRAKASH C KANSAL
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Credential | M.D.
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Telephone | 205-822-6952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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